<!doctype html>
<html>
	<head>
		<meta charset="uft-8">
		<title></title>
	</head>
	<body>
		<div>
			<form>
				<label>请输入地址</label>
				<textarea name="address" 
				rows="3" cols="10"></textarea>
				
				<select name="city">
					<option value="1">北京</option>
					<option value="2">哈尔滨</option>
					<option value="3">佳木斯儿</option>
					<option value="4">广州</option>
					<option value="5">成都</option>
					<option value="6">西安</option>
				</select>
				<input type="submit" value="提交">
			</form>
		</div>
	</body>
</html>